<script language="javascript" src="js/contact.js"></script>	
    <div id="title_content">
		<div  id="title_txt">
			Contact
		</div>
	</div>
	<div id="main_content">
		<div id="contact_text">
			<p><b>Software Entwicklung</b><br />
			Address:Plattlinger Strasse 5a<br />
			Tel: 0941 200 65 11<br />
			Email: info@guncms.de</p>
		</div>
        <div id="form_register">
        	<form name="frmContact" id="frmContact" method="post" onsubmit="return onContactForm('frmContact', 'surnameResponse', 'emailResponse', 'commentResponse','codeResponse', '?page=contactlist'); ">
            <input type="hidden" name="act" value="sendmessage" />
				<div id="form_content">
					<div class="row">
						<div class="txt_register">LABEL_FIRSTNAME:</div>
						<div>
                        	<input name="firstname" type="text" />
                        </div>
					</div>
					<div class="row">
						<div class="txt_register">Surname name <font color="#FF0000">*</font>:</div>
						<div>
                        	<input name="surname" id="surname" style="float:left" type="text"/>
                            <div id="surnameResponse" class="contacterror">&nbsp;</div>
                        </div>
					</div>
					<div class="row">
						<div class="txt_register">Company:</div>
						<div><input name="company" type="text" /></div>
					</div>
					<div class="row">
						<div class="txt_register">Street and Number:</div>
						<div><input name="street" type="text" /></div>
					</div>
					<div class="row">
						<div class="txt_register">ZIP-Code and city:</div>
						<div><input name="zipcode" type="text" /></div>
					</div>
					<div class="row">
						<div class="txt_register">Phone:</div>
						<div><input name="phone" type="text" /></div>
					</div>
					<div class="row">
						<div class="txt_register">{TranslateTag}LABEL_EMAIL{/TranslateTag}<font color="#FF0000">*</font>:</div>
						<div>
                        	<input name="email" id="email" type="text" style="float:left" />
                            <div id="emailResponse" class="contacterror">&nbsp;</div>
                        </div>
					</div>
                    <div class="row">
                        <div class="txt_register">Your Comment <font color="#FF0000">*</font>:</div>
                        <div>
                        	<textarea name="comment" id="comment" style="float:left" cols="22" rows="3"></textarea>
                            <div id="commentResponse" class="contacterror" style="height:70px;">&nbsp;</div>
                        </div>
				    </div>
                    <div class="row">
                  		<div class="txt_register">Code <font color="#FF0000">*</font>: </div>
                      	<div>
                        	<div style="float:left; width:250px;">
                            <img src="captcha.php" alt="Captcha Image" style="border:1px solid #545353;" id="captchaImg" /><br />
            <a href="#" onclick="time = new Date(); document.getElementById('captchaImg').src = 'captcha.php?' + time.getTime(); return false;">neue Zeichenfolge</a><br />
			<input type="text" name="code" id="code" value="" class="input{$captchaError}" />	
                       	
                            </div>
                            <div id="codeResponse" class="contacterror">&nbsp;</div>
                        </div>	
                  	</div>
					<div class="row" style=" font-size:10px; height:20px;">
						You have to fill out all fields maked with *.
					</div>
					<div>
                    	<p align="right">
                            <input type="submit" id="submit" value="Absenden"/>
							<input type="reset" value="Reset" />
                        </p>
					</div>
			    </div>	
		      </form>
        </div>	
	</div>
